APPLICATIONS CAN BE DROPPED OFF AT THE HIGH SCHOOL OR MAIL
Goffstown High School/Mr. Ross’ Driving School Cell: (603)661-3547
RULES / PERMISSION FORM
- Class starts on: 5/1/17 ending on 6/14/17 - , M, W, and Thursdays.
Classes are held in Driver’s Education Room 102 from 3pm-5pm. Cost is $625. There will be a MANDATORY parent/guardian
(mother and/or father) meeting held at Goffstown High School on 5/1/17 from 6pm-7 pm in Driver’s
Education Room 102.
- Student must be 16 by the conclusion
of the course and will provide a copy of birth certificate in proof of this. Student agrees to attend
all scheduled classes.
- Please be
prompt to classes. Students are not allowed to miss more than a total of 4 hours of class for any reason. ALSO FOR THOSE
FOUR HOURS YOU WILL NEED A NOTE STATING SICKNESS, INJURY, OR FUNERAL IF NOT IT WILL RESULT IN AN INCOMPLETION OR FAILING GRADE
FOR THIS COURSE. There will be NO exceptions, as this is a STATE REGULATION.
- All students must comply with the rules of your high school as outlined in the student handbook. All students
are required to have some knowledge of the street signs. Visit these two links http://www.quia.com/de/nhquiz.html and http://www.quia.com/de/nhsign.html.
- Attendance in class is required.
If a student is absent from class then they must seek make up work from their class instructor. However, no student
can miss more than two classes. If they miss more than two classes, then they will be asked to leave the class with
- Driving lessons are scheduled in advance.
Each road instructor will post his or her schedule in advance. If a student misses a driving lesson without notification
and/or an excused absence as stated in the student handbook, then they will be required to pay a missed driving lesson fee
- Cancellations of a driving lesson should
be done 24 hours prior to the scheduled lesson; please call your driving instructor. You will not be charged if you
call, or if you are absent from school with parent’s permission.
- Cancellation of class due to bad weather will be announced over the intercom. If school is canceled then
driver’s education classes and driving lessons are canceled for the day unless you hear from your instructor.
- Students must satisfactorily complete 10 hours of driving and 10 hours
- Students must satisfactorily complete
and pass the class requirements of their class instructor.
- Students will be required to document 40 hours of driving and submit it to the State.
- No students will be given a green slip (showing successful completion of Driver
Education) that have not paid in full, and/or have not returned textbooks; all assigned classroom work has not been completed
and turned in at the end of this class.
- Upon successful
completion of Driver Education, all paperwork, including green slip, will be given out or mailed.
- There will be NO FOOD OR DRINKS allowed in the classroom.
- Students arriving more than 5 minutes late to class will be considered absent.
- To be allowed to take Driver Education, your son/daughter must have PASSED
four High School classes the previous quarter or Guidance Counselor Written Approval.
- All students must pass an eye test prior to the first day of class. 20/40 is passing.
18. Students must adhere to
State Eligibility Requirements, to successfully complete
I have read, understand and agree to
abide by the Driver Education Rules which are subject to change in accordance with the requirements of the State of New Hampshire.
I give permission for ___________________________ to take Driver Education at Goffstown High School at a cost
of $620.(non-refundable following the second class). To the best of my knowledge, he/she has no physical/mental problems
nor any other disabilities which would interfere with the safe operation of an automobile and I kept a copy of this contract.
Are the driving privileges for the person
enrolling in the driver education program currently under suspension or revocation? ____YES ____NO
Is there any pending action against the person enrolling in this driver education program which could cause the
driving privileges to be suspended or revoked in the future? ____YES ____NO
If the enrollee's
driving privileges become suspended or revoked during the program, any such action will immediately be reported to the driver
education program administrator.
Parent: ____________________________________ Date: ____________
Student: ____________________________________ Date: ____________
Home Phone: ____________ Address: ____________________________________________
MAIL FORMS, COPY OF BIRTH CERTIFICATE AND CHECK FOR $625. TO COVER PROGRAM COSTS TO:
Mr. Ross’ Driving School, 12 Mercury Dr. Londonderry, NH 03053
APPLICATIONS CAN BE DROPPED OFF AT THE HIGH SCHOOL
Please make checks payable to
Mr. Ross’ Driving School.
returned checks may be subject to a $20.00 fee.
of this application will be based on a first-come, first-serve basis and also availability of driving times. Advance
notice will be given as soon as possible for any cancellations or modifications to the class schedule.
Social Security#________________ Height________ Weight_______Eye________
Students and parents should
review the pages listed and complete each appropriate page. Any questions please call (603)661-3547 (Cell)